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HomeMy WebLinkAboutG Sudip 460 Pre-election�ee1pient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from it t - - 2 c) -( C. through 10 22 — 2616 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ') Officeholder, Candidate Controlled Committee ® State Candidate Election Committee 0 Recall (Also Con EtePart 5) ❑ General Purpose Committee 0 Sponsored O Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Canyete PmtS) O Primarily Formed Candidate/ Officeholder Committee (A&r Canplete Pad 7) Date of election if applicable (Month, Day, Year) n eA er_ RECEIVE OCT 2 (32Q16 COVER PAGE a of I CITY OF SARATOGA For Official Use Only 2. Type of Statement: VI Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report 3. Committee Information 1.0. NUMBER 13990'4 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) alaoslAL�C�'i� 5f12ATO6n* Ct ty CouNCkL 2Ot6 STREET ADDRESS (NO P.O. BOX) - CITY STATE SAR,Az06,A CA ZIP CODE etc -010 AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasu rer(s) NAME OF TREASURER So Dv? 6'ftesA MAILING ADDRESS Sbav AREA CODEIPHONE (,(' MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules Is true and complete. I certify under penalty of perjury under theBy laws of the State of California that the foregoing is true `v.(`Q and ccorrect, Io'" 2j - 2UtG y r3ndL Executed On `y? Dale Senators of Treasurer or Assistant Treasurer Executed on Executed on Executed on Dare Date Date By By By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor Signature of Conlroting Officeholder, Candidate, Slate Measure Proponent Signature of Controltng Officeholder, Candidate. Stale Measure Proponent FPPC Form 460 (Ian/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. PrimaHly Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE 5> L)( 6'-OS/kZ OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) COUNCIL MtiM�3�Q SAQA (oC,A- RESIDENTIAUBUSINESSADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not Included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 CALFORM 460 Page 2- of '2- NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION U SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets If necessary FPPC Form 460 Ilan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-9772) www.fppc,ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnole Dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from D f' 2 '.1 6 CALIFORNIA FORM 460 through 1 0 l 22 P t 6 Page 1 of ; NAME OF FILERS f ` � t � �� E �n�� �! V V I.D. NUMBER 13990V DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1- DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ap )R- 2S ` n t Lot 6 frL a ^' SaNg0` Ctil"-- Li IND ❑COM 0OTH ❑PTY ❑ SCC �` r�� OCP UV 1.-- ��r nn soLYvte� 171 0?- Q (st pN [MIND ❑ COM 110TH ElPTY [ism /t3 L1tKee& Q ���1yy e.k c&.0 ' t^^ ( 101' OG 2 S A- J� QQ''-- AuL vVA C Mi\ACJ� Los �1 t {cis IND COM ❑ OTH ❑ PTY ❑ SCC s/„.., W NCS Itryt 1-' I ' Do p 2 S ucAc� Pah aha 0,1/1 1USe- o oM ❑ OTH 0SCC -</ CA-) i ��;,Ac� Q?�Ce. 1.00 ' 00 )- 02 JAS ��Ft.otc n r 91e VSAO " . o oM ❑0TH ❑PTY ❑SCC q,J E.A.k; Le�.1 ,, , ^ � CO `y�-1� 1 ICP,Wn' 20' °° SUBTOTAL$ ,T 'C Schedule A Summary 1. Amount received this period — itemized monetary contributions. /' , rf1� (Include all Schedule A subtotals.) $ (� U v 2. Amount received this period — unitemized monetary contributions of less than $100 $ 0 Q� 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL$ r✓ i •61) 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 6 E- 2 i - ( 6 CALIFORNIA 460 FOFIM /h through ?Q- 22' +? " Page 4^ of r2"' NAME OF FILER I.D. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE i IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1- DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 0 SV�incev Cl0�c.ciSoh NOYtA CA, IS6k1/,G 01ND ❑ COM 0OTH ❑PTY ❑ SCC .511).-) C.-- VSE UlAcAtrthaarkCUT LIC (vr rr,, ff % 1 U - () -Q hict. CI- Cto u -U �s C�1 El IND ROTH ❑ PTY ❑ SCC 2 00 ' CID ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ 0TH ❑ PTY ❑ SCC 0 IND ❑ COM ❑ OTH 0 PTY ❑ SCC SUBTOTAL$ 2 4 CY 0) 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other (eg., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 schedule — Part 1 to whole dollars. Loans Received SEE INSTRUCTIONS ON REVERSE from through Statement covers period ©4' 2 Sr" Zo (ki CALIFORNIA FORM 460 6 ? 01 Page i of ___I___ NAME OF FILER SvD c\' GHtS4 L I.D. NUMBER 13 9 9:0 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I . NUMBER) IF AN INDIVIDUAL, ENTER OCCPPATIONnALNDEEEPTOYER ER NAME OF BUSINESS) (e) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT RECEIVED THIS PERIOD h) AMOUNT PAID OR FORGIVEN THIS PERIOD' (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST PAID THIS PERIOD (p ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE gv up (P G N a 5 A L terry IND D COM ID ❑PTV ❑SCC `l' S/ CO f i 1(01 p,A B20 CAD L 3Ligl'6 SCeirq) fii. PND ++ $Gi: 1/ 3 _.% RATE S • C $�1�1� 11 CALENDAR YEAR $ 4 PER ELECTION" S IIFORGIVEN $ Iv—I-20/ DATE DUE DATE INCURRED 1.0 IND 0 COM 0 OTH ❑PTY 0 SCC S 3 ❑ PAID 5 3 % RATE S S CALENDAR YEAR S D FORGIVEN 3 PER ELECTION" S DATE DUE DATE INCURRED t ❑ IND 0 COM 0 OTH D PTY 0 SCC S 3 D PAID $ S ,t RATE 3 $ CALENDAR YEAR 5 ElFORGIVEN 3 PER ELECTION" 3 DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ tf i` q l Schedule B Summary 1. Loans received this period $ LLD' 91 (Total Column (b) plus unitemized loans of less than $100.) G 2. Loans paid or forgiven this period $ `g' �, (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ T Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required, (Moy bo a nogotivo number) (Enter (e) on Schedule E, Line 3) tContributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 1") SCHEDULE R - PART 2 Schedule B — Fart z Amounts may De rounaea to whole dollars. Loan Guarantors SEE INSTRUCTIONS ON REVERSE Statement covers period , from d �' 2-C -20( f) CALIFORNIA 460 FORM q dl through 1 2 Page of NAME OF FILER S:s) (1) 6E-tas/ L I.D. NUMBER 1 Sqq0 Li FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE. ALSO ENTER 10 NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF .EMPLOYED ENT ER NAME OF BUSINESS) LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO DATE BALANCE OUTSTANDING TO DATE ��r , ".'� ❑ IND ❑ COM D OTH 0 PTY ❑ scC LENDER CALENDAR YEAR s DATE PER ELECTION (IF REQUIRED) S ❑ IND ❑ COM ❑ OTH D PTY ❑ SCC LENDER CALENDAR s PER (IF S YEAR ELECTION REQUIRED) DATE ❑IND ❑ COM ❑ OTH ❑ PTY D scc LENDER CALENDAR s PER (IF s YEAR ELECTION REQUIRED) DATE 0 IND ❑ COM 0 OTH DPTY D SCC LENDER CALENDAR s PER (IF , YEAR DATE ELECTION REQUIRED) Enteron SUBTOTAL $ Summary Page. Line 17 only. 0 'CT' FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received " WIVUL. VA./11130. SEE INSTRUCTIONS ON REVERSE Statement from through covers period (3c( 2 S - 20( (3 CALIFORNIA 460 FORM � 2 ? Z O t G lo t Page _t___ of _ NAME OF FILER Syso () 6.t-k)5.•A L, I.D. NUMBER (3? roY DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE CUMULATIVE TODATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH 0 PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 $ S. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ v '0) 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D summa ry OT CX enaitures Amounts may be rounded Supporting/Opposing Other t° wnele dollars. Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Statement covers period 6 from 0q- 2 (–I[p� CA FORM IA 460 through 10 ZZ—t " Page I of -2--- NAME OF FILER I . NUMBER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (;p REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. t - DEC. 31l PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution 0 Independent Expenditure ❑ Support 0 Oppose ❑ Monetary Contribution 0 Nonmonetary Contribution ❑ Independent Expenditure ❑ Support 0 Oppose SUBTOTAL $ Schedule D Summary t 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 6 2. Unitemized contributions and independent expenditures made this period of under $100 $ `0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ -C) FPPC Form 460 (Jan/2016) FPPC Advice: advlcegfppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Amounts may be rounded SCHEDULE D (CONT. Summary of Expenditures to whole dollars. Supporting/Opposing Other Candidates, Measures and Committees Statement covers period from CI r Z 1 -( (� CALIFORNIA FORM 460 through t )) �' 2' — I Q Page `hof NAME OF FILER $d0/(-6^cfCY/4L I.D. NUMBER DATE NAME OF CANDIDATE. OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support 0 Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support 0 Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support 0 Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support 0 Oppose SUBTOTAL $ : r� FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from e37- 2s- -_ .. through %0r 22— /D SCHEDULE E NAME OF FILER Su D t () Gif(oS1L Page of I.D. NUMBER 13 ck ?act CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)' civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)' legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID P. D i 14-0-k t p l u -s LL L CM P Law" si)v‘ j cxct kc i- e 0 leaa loot c A Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ f ®,6 r t 2 Schedule E Summary Q r� 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 5 0 6. `G 2. Unitemized payments made this period of under $100 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. otatement covers period from through SCHEDULE E (CONT.) Page of NAME OF FILER 1.0. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)' civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)' legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS FPPC Form 460 (fan/2016) FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fppc.ca.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. NAME OF FILER tip 62 Ho sf► t_ Statement covers period from ° through Z?� ( 6 SCHEDULE F (CONT.) CALIFORNIA 460 FORM CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary) CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain) LEG legal defense LIT campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Page ( of I.D. NUMBER (39? RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER m. NUM5ER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTANDING BALANCE BEGINNING OF THIS PERIOD ( NCURRED AMOUNT IN THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON El (A) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS $ $ $ 6 FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275.9772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Indep lent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. .tatement covers period from _ � through (0 22- - 'v SCHEDULE G NAME OF FILER Skr t /2 6 Lb; &Z. Page _A of I.D. NUMBER NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)' civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)' legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads Payments that are contributions or independent expenditures must also be summarized on Schedule D. RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE. ALSO ENTER I 0 NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL* $ G�6 ' Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. NAME OF FILER -LS tr9 Get) sit) Statement covers period from2.ai� through t0,- E.2— 2.0 SCHEDULE F CALIFORNIA 460 FORM V CODES: If one of the following codes accurately describes CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)• LEG legal defense LIT campaign literature and mailings the payment, you may enter the code. MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads Page 7 of I.D. NUMBER 13 ? 9.6 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER I D. NUMBER) CODE OR(a) OF PAYMENT OUTSTANDINGCEG BALANCE BEGINNING OF THIS PERIOD (INb) AMOUNT PERIODR THIS (N) AHTS PERIODT OID THIS (ALSO REPORT ON El (A) ING BALOUTANCE CLOSE BALANCE AT CLOSE OF THIS PERIOD • Payments that aro contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) PAID TOTALS $ 6 re( 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and "0 on the Summary Page, Column A, Line 9.) NET $ May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Loans Made to Others*to whole dollars. SEE INSTRUCTIONS ON REVERSE from through Statement covers period q 21 -(6 CALIFORNIA 460 FORM v 16 - 2 2.— 1 G ` ` Page l of 2.___ NAME OF FILER w 0 t p 6 t-1 .-'S s .A L I.D. NUMBER l' et et 04 FULL NAME, STREETADDRESS AND ZIP CODE (IF COMMITTEDF E. ALSO EhTERT.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYEO. ENTER NAME OF BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD Ib) AMOUNT LOANED THIS PERIOD (c) REPAYMENT OR FORGIVENESS THIS PERIOD' ❑ PAID s (d) OUTSTANDING CLOSE OF THE IS PERIOD S (el INTEREST RECEIVED _ _ _ _ % It ORIGINAL. AMOUNT OF LOAN i lal CUMULATIVE LOANS TO DATE CALENDAR YEAR 5 ❑ FORGIVEN NATE PER ELECTION'' 5 DATE DUE DATE INCURRED S S ❑ PAID 5 S I) i CALENDAR YEAR 5 ❑ FORGIVEN 5 RUl E S PER ELECTION" S DATE DUE DATE INCURRED `Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ $ P 6 093 (Enter (e) on Schedule I. Line 3) Schedule H Summary 1. Loans made this period $ 0 (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans $ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ r (Enter the net here and on the Summary Page, Column A, Line 7.) Q (May boa negative number) "If Required FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from Q et- 2j" ' ( C CALIFORNIA 460 FORM through `v r 22 -- t CS " Page of NAME OF FILER ,S u 0 t P an go s it z__ I.D. NUMBER B? 2 0 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE QF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized Increases to cash this period. $ V r 2. Unitemized increases to cash of under $100 this period. $ —� ' 0 $ 6o 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the v Summary Page, Line 14.) TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. NAME OF FILER SUDiP Gk-1OSAL Statement covers period from OQ" 2j -2 Ut C through 10- 21-20' SUMMARY PAGE CALIFORNIA AL*o FORM SFV Page i of I.D. NUMBER 139. '9' a Contributions Received 1. Monetary Contributions Schedule A, Lino 3 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Linos 1 * 2 4. Nonmonetary Contributions Schedule C, Lino 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Linos 3+4 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 6' tie(' 9( ID 13 ql Column B CALENDAR YEAR TOTAL TO DATE $ 6-102•61) 48�rgi 10,13 °al U12a $ (tq3* c ( Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Data 20. Contributions 103. et Received $ $ 21. Expenditures Made $ U 0 Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE Schedule E, Line 4 $ Schedule H, Line 3 Add Linos 6 * 7 $ Schedule F, Line 3 Schedule C, Line 3 Add Linos 8*9*10 $ g 66' c( $ c 0 6 • `12 CoG• a L $ SdG-q ti Current Cash Statement 12. Beginning Cash Balance Previous Summery Page, Line 16 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash schodulo 1, Lino 4 15. Cash Payments Column A, Lino 8 above 16. ENDING CASH BALANCE Add Linos 12 * 13 + 14, than subtract Lino 15 If this is a termination statement, Lino 16 must be zero. $ 3'0 1093.41 c, -G -.9Z $ S e,4‘ r 99 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents Seo instructions on reverse 19. Outstanding Debts Add Lino 2 * Lino 9 in Column B above $ To calculate Column 8, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) 1,6 Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov